Cancer: Death

Ian Gibson: To ask the Secretary of State for Health what assessment he has made of trends in mortality rates of  (a) common cancers and  (b) rarer cancers; and if he will make a statement.

Kevin Brennan: I have been asked to reply.
	The information requested falls within the responsibility of the UK Statistics Authority. I have asked the authority to reply.
	 Letter from Karen Dunnell, dated November 2008:
	As National Statistician, I have been asked to reply to your recent question asking what assessment has been made of trends in mortality rates of (a) common cancers and (b) rarer cancers. (232840)
	The attached table provides the age-standardised mortality rates in England, by sex, for the period 1971 to 2005, for all cancers combined, and for each cancer for which this information is readily available.
	A detailed description of trends in cancer incidence and mortality over the period 1950 to 2003 is available in the 'Cancer Atlas of the United Kingdom and Ireland, 1991-2000', chapter 2 (pp 7-38), entitled 'Geographical patterns in cancer in the UK and Ireland'. This publication is also available in the House of Commons library, and from the Office for National Statistics' website via the following link:
	www.statistics.gov.uk/statbase/Product.asp?vlnk=14059
	An article examining trends in cancer in the UK and constituent countries over the period 1993-2004 for all cancers combined, and for the four most common cancers, was published in the Health Statistics Quarterly, volume 38, pp 33-46. This is available in the House of Commons library, and from the Office for National Statistics website via the following link:
	www.statistics.gov.uk/cci/article.asp?ID=2007&Pos=1 &ColRank=1&Rank=1
	
		
			  Age-standardised mortality rates per 100,000 population by cancer site and sex, England, 1971 to 2005( 1) 
			  Rate per 100,000 population 
			  Sex  Site  1971  1972  1973  1974  1975  1976  1977  1978  1979  1980  1981  1982 
			 Male All cancers 284 286 286 288 284 289 285 286 287 285 284 281 
			  Lung 107 109 109 110 107 108 108 108 106 104 101 100 
			  Colorectal 34 34 33 34 33 34 33 32 32 31 31 30 
			  Stomach 32 31 31 30 30 29 28 28 27 26 25 24 
			  Bladder 13 13 13 13 12 13 13 13 12 12 12 12 
			  Pancreas 12 12 12 12 13 12 12 12 13 13 12 11 
			  Leukaemia 8 7 8 8 8 8 8 8 8 8 8 8 
			  Oesophagus 8 8 8 8 8 8 8 9 8 9 9 9 
			  Prostate 2 2 2 2 2 2 2 2 2 2 2 2 
			  Brain 4 5 4 5 4 5 5 5 5 5 5 4 
			  Lip, mouth and pharynx 4 4 4 4 4 4 4 4 4 4 4 4 
			  Kidney 4 4 4 4 5 5 5 5 5 4 5 5 
			  Non Hodgkin's lymphoma 4 4 4 4 4 4 4 5 5 5 5 5 
			  Larynx 3 3 3 3 3 3 3 3 3 3 3 3 
			  Myeloma 3 3 3 3 3 3 3 3 4 3 4 3 
			  Hogkin's disease 2 2 2 2 2 2 2 2 1 1 1 1 
			  Testis 1 1 1 1 1 1 1 1 1 1 1 1 
			  Melanoma 1 1 1 1 1 1 1 1 1 1 2 2 
			 Female All cancers 175 175 176 178 178 181 179 180 182 183 182 182 
			  Breast 39 39 40 39 40 40 40 40 40 40 41 41 
			  Colorectal 26 26 26 26 26 26 25 25 24 24 23 22 
			  Lung 19 19 20 21 22 22 23 23 24 25 25 26 
			  Stomach 15 15 14 14 13 13 12 13 12 12 11 10 
			  Ovary 13 13 12 12 12 13 12 13 12 12 12 12 
			  Cervix 8 8 8 7 8 8 7 7 7 7 7 6 
			  Pancreas 7 7 7 8 7 8 8 7 8 8 7 8 
			  Uterus 5 4 5 5 4 4 4 5 4 4 4 4 
			  Leukaemia 5 5 4 5 5 5 5 5 5 5 5 5 
			  Oesophagus 4 4 4 4 4 4 4 4 4 4 4 4 
			  Bladder 3 3 3 4 3 4 3 4 4 3 4 3 
			  Brain 3 3 3 3 3 3 3 3 3 3 3 3 
			  Non Hodgkin's lymphoma 3 3 3 3 3 3 3 3 3 3 3 3 
			  Myeloma 2 2 2 2 2 2 2 2 3 2 2 3 
			  Kidney 2 2 2 2 2 2 2 2 2 2 2 2 
			  Lip, mouth and pharynx 2 2 2 2 2 2 2 2 2 2 2 2 
			  Melanoma 1 1 1 1 1 2 1 1 1 2 2 2 
			  Hogkin's disease 1 1 1 1 1 1 1 1 1 1 1 1 
			  Larynx 0 0 1 0 0 1 1 1 1 1 1 1 
		
	
	
		
			  Rate per 100,000 population 
			  Sex  Site  1983  1984  1985  1986  1987  1988  1989  1990  1991  1992  1993  1994 
			 Male All cancers 286 285 283 277 278 279 276 275 274 271 269 264 
			  Lung 101 97 96 92 90 89 85 84 82 79 76 74 
			  Colorectal 31 31 30 30 30 30 30 30 30 30 30 28 
			  Stomach 25 23 22 22 21 21 20 19 18 18 16 16 
			  Bladder 12 12 12 12 11 12 11 12 12 12 12 11 
			  Pancreas 12 12 12 11 11 11 11 11 11 11 10 10 
			  Leukaemia 8 8 8 7 8 7 7 7 7 7 7 7 
			  Oesophagus 10 9 10 10 11 11 11 12 12 12 12 13 
			  Prostate 2 2 2 2 3 3 3 3 3 3 3 3 
			  Brain 5 5 5 5 5 6 6 6 5 6 6 6 
			  Lip, mouth and pharynx 4 4 4 4 4 4 4 4 4 4 4 4 
			  Kidney 5 6 5 5 5 5 6 6 6 6 6 6 
			  Non Hodgkin's lymphoma 6 6 6 6 7 7 7 7 7 7 8 7 
			  Larynx 3 2 3 3 3 3 3 2 3 3 3 2 
			  Myeloma 4 4 4 4 4 4 4 4 4 4 4 4 
			  Hogkin's disease 1 1 1 1 1 1 1 1 1 1 1 1 
			  Testis 1 1 0 0 1 1 0 0 0 0 0 0 
			  Melanoma 2 2 2 2 2 2 2 2 2 2 2 2 
			 Female All cancers 183 185 185 184 185 186 186 183 182 180 180 178 
			  Breast 41 41 41 42 41 41 41 40 40 39 39 38 
			  Colorectal 23 22 22 21 21 21 21 20 20 20 19 19 
			  Lung 26 28 27 28 28 29 29 29 29 29 29 30 
			  Stomach 10 10 9 9 9 8 8 8 7 7 7 7 
			  Ovary 12 12 12 12 12 12 12 12 12 12 12 12 
			  Cervix 6 6 6 6 6 6 6 5 5 5 5 4 
			  Pancreas 7 8 8 8 8 8 8 8 7 8 8 7 
			  Uterus 4 4 4 4 4 4 4 4 4 3 3 3 
			  Leukaemia 5 5 5 5 5 5 5 4 4 4 4 4 
			  Oesophagus 4 5 5 5 5 4 5 5 5 5 5 5 
			  Bladder 3 3 3 4 3 3 4 4 3 3 3 4 
			  Brain 3 4 3 3 4 4 4 4 4 4 4 4 
			  Non Hodgkin's lymphoma 3 4 4 4 4 4 4 4 5 5 5 5 
			  Myeloma 2 3 3 3 3 3 3 3 3 3 3 3 
			  Kidney 2 2 2 2 3 3 3 3 3 3 3 3 
			  Lip, mouth and pharynx 2 2 2 2 2 2 2 2 2 2 1 2 
			  Melanoma 1 2 2 2 2 2 2 2 2 2 2 2 
			  Hogkin's disease 1 1 1 1 1 1 1 1 0 0 1 0 
			  Larynx 0 1 1 0 1 1 0 0 0 1 1 1 
		
	
	
		
			  Rate per 100,000 population 
			  Sex  Site  1995  1996  1997  1998  1999  2000  2001  2002  2003  2004  2005 
			 Male All cancers 260 254 246 246 238 232 228 227 222 221 213 
			  Lung 71 68 65 64 61 59 57 56 54 52 51 
			  Colorectal 28 27 27 26 25 25 24 24 23 23 21 
			  Stomach 15 15 14 13 13 12 11 11 10 9 9 
			  Bladder 11 11 10 10 10 9 9 9 9 9 8 
			  Pancreas 10 10 10 10 10 10 10 10 10 10 10 
			  Leukaemia 7 7 7 7 7 7 7 7 7 7 7 
			  Oesophagus 13 13 13 13 13 13 13 13 13 13 13 
			  Prostate 3 3 3 3 3 3 3 3 3 3 3 
			  Brain 6 6 6 6 6 6 6 6 6 6 6 
			  Lip, mouth and pharynx 4 4 4 4 4 4 4 4 3 4 4 
			  Kidney 6 6 6 6 6 6 6 6 6 6 6 
			  Non Hodgkin's lymphoma 8 8 8 8 7 7 7 8 7 7 7 
			  Larynx 2 2 2 2 2 2 2 2 2 2 2 
			  Myeloma 4 4 4 4 4 4 4 4 4 4 4 
			  Hogkin's disease 1 1 1 1 1 0 0 0 1 1 0 
			  Testis 0 0 0 0 0 0 0 0 0 0 0 
			  Melanoma 3 2 2 2 3 3 3 3 3 3 3 
			 Female All cancers 176 173 170 168 165 163 160 159 156 157 153 
			  Breast 37 35 34 34 33 32 31 30 29 28 28 
			  Colorectal 18 18 17 17 16 15 15 15 14 14 13 
			  Lung 29 29 28 29 29 28 28 28 29 28 29 
			  Stomach 6 5 6 5 5 5 5 4 4 4 4 
			  Ovary 12 12 12 12 11 11 11 11 11 10 10 
			  Cervix 4 4 4 3 3 3 3 3 3 3 2 
			  Pancreas 7 7 7 7 7 7 7 7 7 7 8 
			  Uterus 3 3 3 3 3 3 3 3 3 3 4 
			  Leukaemia 4 4 4 4 5 4 4 4 4 4 4 
			  Oesophagus 5 5 5 5 5 5 5 5 5 5 5 
			  Bladder 3 3 3 3 3 3 3 3 3 3 3 
			  Brain 4 4 4 4 4 4 4 4 4 4 4 
			  Non Hodgkin's lymphoma 5 5 5 5 5 5 5 5 5 4 4 
			  Myeloma 3 3 3 3 3 3 3 3 3 2 2 
			  Kidney 3 3 3 3 3 3 3 3 3 3 3 
			  Lip, mouth and pharynx 1 1 2 2 1 2 2 2 1 2 1 
			  Melanoma 2 2 2 2 2 2 2 2 2 2 2 
			  Hogkin's disease 0 0 0 0 0 0 0 0 0 0 0 
			  Larynx 1 0 0 0 0 0 0 0 0 0 0 
		
	
	(1) Cause of death for cancers was defined using the International Classification of Diseases, Eighth Revision (ICD-8) for 1971 to 1978, Ninth Revision (ICD-9) for 1979 to 2000 and Tenth Revision (ICD-10) for codes 2001 to 2005. See the following table for specific.
	
		
			   ICD 8  ICD 9  ICD 10 
			 All cancers 140-205 140-208 C00-C97 
			 Bladder 188 188 C67 
			 Brain 191 191 C71 
			 Breast 174 174 C50 
			 Cervix 180 180 C53 
			 Colorectal 153-154 153-154 C18-21 
			 Hogkin's disease 201 201 C81 
			 Kidney 189 189 C64-66, C68 
			 Larynx 161 161 C32 
			 Leukaemia 204-207 204-208 C91-C95 xC91.4 
			 Lip, mouth and pharynx 140-149 140-149 C00-C14 
			 Lung 162 162 C33-C34 
			 Melanoma 172 172 C43 
			 Myeloma 203 203 C88, C90 
			 Non Hodgkin's lymphoma 200, 202 200, 202 C82-C85, C91.4, C96 
			 Oesophagus 150 150 C15 
			 Ovary 183 183 C56-C57 
			 Pancreas 157 157 C25 
			 Prostate 185 185 C61 
			 Stomach 151 151 C16 
			 Testis 186 186 C62 
			 Uterus 182 182 C54-C55